Type 2 & other diabetes

Risk Factors for Development of Type 2 and Prediabetes in Children During the COVID ‐19 Pandemic

Pediatr ObesPublished Retrospective cohort study

Authors' conclusion

Risk factors for prediabetes and T2D in children remained the same during the pandemic as prior: adolescents, overweight/obese patients, publicly insured individuals and non-White individuals.

Study context

Population
Patients aged 0–19 years in a large, integrated health system, 2020 to 2023 (COVID-19 pandemic)
Exposure
Risk factors for new-onset T2D and prediabetes
Outcome
Incidence of new-onset T2D and prediabetes; risk factors
Follow-up
2020 to 2023
Methodological detailshealth records of a large, integrated health system, multivariable logistic regression
  • Health records of a large, integrated health system
  • Multivariable logistic regression

Main finding

As reported in the abstract

  • COVID-19 infection was not a meaningful risk factor for prediabetes or T2D
  • Obesity vs Normal weight: P < 0.0001
  • Overweight vs Normal weight: P < 0.0001
  • Obesity vs Normal weight: P < 0.0001
  • Aged 12-19 vs Younger children: P < 0.0001
  • Aged 12-19 vs Younger children: P < 0.0001
  • Publicly insured: P = 0.003
  • Black and Asian vs White: P < 0.0001
  • Black vs White: P = 0.019
  • Asian vs White: P = 0.02

Observational data: associations, not effects.

Original publication

Risk Factors for Development of Type 2 and Prediabetes in Children During the COVID ‐19 Pandemic. Pediatr Obes. Published 14 November 2025. doi:10.1111/ijpo.70070

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